The efficacy of oral habit modification on headache
Agha Hosseini Farzaneh, Sheykhbahaei Nafiseh, Mirzaii Dizgah Iraj, Fatehi Farzad,
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( Agha Hosseini Farzaneh ) - Tehran University of Medical Sciences Dental Research Institute Dental Research Center
( Sheykhbahaei Nafiseh ) - Tehran University of Medical Sciences Dental Research Institute Dental Research Center
( Mirzaii Dizgah Iraj ) - AJA University of Medical Sciences School of Medicine Department of Physiology
( Fatehi Farzad ) - Tehran University of Medical Sciences Shariati Hospital Department of Neurology
Abstract
Objectives: Headache is the most common complaint of patients suffering from temporomandibular joint disorders (TMDs). Thus, temporomandibular joint (TMJ) examinations maybe necessary in patients with headache. Considering the high prevalence of bruxism and TMDs in patients with headache the effects of conservative TMD treatment on headache should be assessed.
Materials and Methods: Patients were questioned about headaches in the past three months. Those responding affirmatively to this question were examined for TMD and bruxism. After the examinations, 219 patients remained in the study and received self-management instructions. Patients were requested to modify oral habits except when eating or sleeping. The degree of pain (visual analogue scale), headache disability index (HDI), frequency of headaches (FH) per month and TMD intensity were evaluated.
Results: The median levels of pain, HDI, FH, and TMD intensity were 8, 44, 8, and 7, respectively, before modifying oral habits and decreased to 4, 24, 2, and 3, respectively, after intervention. These decreases were statistically significant.
Conclusion: Having patients maintain free space between the teeth and relax muscles can be an efficient method to treat headache and TMD, especially when repeated frequently.
키워드
Headache; Temporomandibular joint disorders; Para-functional habits; Self-care
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